Comparison of frequency of menorrhagia after immediate versus delayed intrauterine contraception device (IUCD) insertion

Abstract

Objective: To compare the frequency of menorrhagia after immediate versus delayed intrauterine contraception device insertion. Study Design: Randomized controlled trial. Place and Duration of Study: This study was conducted at the Department of Obstetrics & Gynaecology, QAMC Bahawalpur from 14th February 2019 to 13th August 2019. Materials and Methods: A total of 110women willing for intrauterine contraceptive device insertion of age 18-40 years were included. Women having sepsis, PROM, uterine anomalies & fibroid uterus were excluded. Group A included the women in which intrauterine contraceptive device was inserted within 24 hours of delivery and Group B included the women in which intrauterine contraceptive device was inserted after 6 weeks of delivery. All the above patients were tracked for 3 months by the researchers themselves for presence or absence of menorrhagia. Results: The mean age was found to be 28.67 ± 5.72 years in group A and29.02 ± 5.63 years in group B. The mean parity in both groups were 3. Menorrhagia in group A (immediate IUCD) was seen in 04 (7.27%) and in group B (delayed IUCD) was seen in 24 (25.45%) females with p-value of 0.010. Conclusion: This study concluded that there is less frequency of menorrhagia after immediate IUCD compared to delayed intrauterine contraception device insertion.